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This form is used by university students to request the withholding or release of their directory information as per university policy. It details the implications of withholding such information.
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How to fill out request to withhold or

How to fill out REQUEST TO WITHHOLD OR RELEASE DIRECTORY INFORMATION
01
Obtain the REQUEST TO WITHHOLD OR RELEASE DIRECTORY INFORMATION form from the appropriate administrative office or website.
02
Fill in your full name and contact information at the top of the form.
03
Indicate whether you want to withhold or release directory information by checking the appropriate box.
04
Provide specific details about the directory information in question, such as what information you wish to withhold or release.
05
Sign and date the form to confirm your request.
06
Submit the completed form to the designated office or individual as instructed.
Who needs REQUEST TO WITHHOLD OR RELEASE DIRECTORY INFORMATION?
01
Students who wish to keep their personal information private.
02
Parents or guardians looking to protect a minor's directory information.
03
Employees concerned about the release of their professional information.
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People Also Ask about
What are the penalties for violating FERPA?
Disclosure means to permit access to or the release, transfer, or other communication of personally identifiable information (PII) by any means (34 CFR §99.3).
What is example of directory information that can be disclosed without consent?
What are the penalties for FERPA violations? Educational institutions face a loss of federal funding support for violating FERPA. Individuals whose privacy rights have been violated may file lawsuits against the violating institution and seek damages.
Can you go to jail for violating FERPA?
The penalty for violating FERPA is not jail, but is almost as bad for institutions: withdrawal of federal funding.
What is an example of violating FERPA?
Sharing a student's grades without consent, whether by posting them publicly with identifiable information or sharing with individuals not authorized to access the records, violates FERPA. For example, this can happen when a professor posts a list of student grades on a bulletin board using names or ID numbers.
How much is a FERPA violation?
Because the FERPA penalty amounts to a total revocation of eligibility to receive federal education funding, to date, the Department has never imposed a financial penalty on anyone for a FERPA violation.
What are potential consequences of a FERPA violation?
Failure to comply with FERPA requirements can result in significant penalties through fines, employee suspension or termination, loss of federal funding, or disciplinary action from the US Department of Education.
What is considered directory information under FERPA?
Typically, "directory information" includes information such as name, address, telephone listing, date and place of birth, participation in officially recognized activities and sports, and dates of attendance.
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What is REQUEST TO WITHHOLD OR RELEASE DIRECTORY INFORMATION?
The REQUEST TO WITHHOLD OR RELEASE DIRECTORY INFORMATION is a formal document used to either withhold or allow the release of personal directory information about individuals, typically in an educational or organizational setting.
Who is required to file REQUEST TO WITHHOLD OR RELEASE DIRECTORY INFORMATION?
Students, parents, or guardians are typically required to file this request to ensure that their personal information is either kept confidential or made available according to their preferences.
How to fill out REQUEST TO WITHHOLD OR RELEASE DIRECTORY INFORMATION?
To fill out the REQUEST TO WITHHOLD OR RELEASE DIRECTORY INFORMATION, individuals should provide their personal information, specify their decision to withhold or release information, and sign the document to validate their request.
What is the purpose of REQUEST TO WITHHOLD OR RELEASE DIRECTORY INFORMATION?
The purpose of this request is to protect students' or individuals' privacy by allowing them control over what personal information is disclosed and to whom, thus ensuring compliance with privacy regulations.
What information must be reported on REQUEST TO WITHHOLD OR RELEASE DIRECTORY INFORMATION?
Required information typically includes the individual's name, contact information, the specific directory information to be withheld or released, and any applicable signatures or identification numbers.
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